梗阻性完全性肺静脉异位引流的诊断和治疗  

The diagnosis and therapy in obstructive total anomalous pulmonary venous connection

作　　者：刘付蓉 庄建[1] Liu Furong;Zhuang Jian(Guangdong Cardiovascular Institute,Guangdong Provincial People’s Hospital,Guangdong Academy of Medical Sciences,Cardiovascular Surgery Department,Guangzhou 510100,China)

机构地区：[1]广东省心血管病研究所,广东省人民医院,广东省医学科学院心外科,广州510100

出　　处：《中华胸心血管外科杂志》2023年第11期697-699,共3页Chinese Journal of Thoracic and Cardiovascular Surgery

摘　　要：完全性肺静脉异位引流(total anomalous pulmonary venous connection,TAPVC)目前外科矫治术后疗效满意,但合并术前梗阻的TAPVC以及术后并发肺静脉梗阻(pulmonary venous obstruction,PVO)的患儿预后较差,再次PVO的患儿往往需要再手术治疗,再手术患儿的死亡及术后再次出现梗阻的比例高。Sutureless技术应用在梗阻性TAPVC上有良好的经验,广泛应用于各种类型的TAPVC的一期矫治及再次手术。本文综述了近年来国内外关于梗阻性TAPVC的诊断和治疗预后分析的研究,旨在更早期识别具有潜在再次梗阻的患儿,个性化制定手术方式,改善预后。The surgical prognosis of total anomalous pulmonary venous connection(TAPVC)is satisfied while the obstructive TAPVC might have progressive pulmonary venous obstruction(PVO).These patients probably required reoperation since the recurrent obstruction affect the prognosis adversely,with higher mortality rate.The application of sutureless technique in obstructive TAPVC have been proved to be the best surgical strategy,which was widely used in many subtypes of TAPVC.This article reviewed recent studies which focus on the diagnosis and therapy about the obstructive TAPVC,aiming at identifying the potential obstructive TAPVC and improving the surgical outcomes.

关 键 词：完全性肺静脉异位引流 再手术治疗 梗阻性 手术患儿 TAPVC pulmonary 改善预后 早期识别 

分 类 号：R655.3[医药卫生—外科学]